Provider Demographics
NPI:1740559814
Name:LOKE, WEIQIANG (BDS)
Entity Type:Individual
Prefix:DR
First Name:WEIQIANG
Middle Name:
Last Name:LOKE
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DR # MSC7894
Mailing Address - Street 2:ROOM 3.571U
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-567-3589
Mailing Address - Fax:210-567-3761
Practice Address - Street 1:7703 FLOYD CURL DR # MSC7894
Practice Address - Street 2:ROOM 3.571U
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-3589
Practice Address - Fax:210-567-3761
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXETN60122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist